Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kali Hertzog, PAC

Individual provider Physician Assistant · NPI 1790495414

Kali Hertzog, PAC is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with St Luke's Hospital, a 100-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

501 Cetronia Rd
Allentown, PA 18104-9569
Phone: (484) 426-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064136 (PA)

Record details

NPI number1790495414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Luke'S Hospital — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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